Organization
OSCEOLA THERAPY AND LIVING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY HARGIS (PRESIDENT)
(870) 291-8804
Entity
Organization
Contact information
Practice address
287 S COUNTRY CLUB RD, OSCEOLA, AR 72370-6047
(870) 563-3201
(870) 563-3797
Mailing address
PO BOX 506, MELBOURNE, AR 72556-0506
(870) 368-4050
(870) 368-4054
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
928
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182993311
—
AR
Enumeration date
11/30/2010
Last updated
11/30/2010
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